Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,221.00 / $7,723.00	Facility		$1,105.00	$3,221.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.54 / $1,973.28 / $3,337.42	Professional		$1,346.54	$1,973.28	$3,337.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $2,438.96 / $5,072.18	Professional		$2,438.96	$2,438.96	$5,072.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $2,540.09	Professional		$120.00	$345.40	$2,540.09
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,411.58 / $2,579.61 / $4,917.60	Professional		$1,411.58	$2,579.61	$4,917.60